Individual provider Active NPI

Nicholas Olsen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Thornton, CO
National Provider Identifier
1063472785
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
33792 Issued in CO
Practice address
8515 Pearl St
Suite 201
Thornton, CO 80229-4810
Phone
(303) 286-2888
Fax
(303) 286-4036
NPI assigned
Mar 25, 2006
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 33792 CO Primary

Addresses

Primary practice location

8515 Pearl St
Suite 201
Thornton, CO 80229-4810

Mailing address

8515 Pearl St
Suite 201
Thornton, CO 80229-4810
Phone (303) 286-2888

Other identifiers 1

IdentifierTypeStateIssuer
90228359MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000505 CO Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 7012805831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates of Colorado PCGroup PAC ID 9032006895, 5 clinicians

Practice addresses (Care Compare)

8515 Pearl St
Suite 350
Thornton, CO 80229-4832
Phone (303) 316-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
33792COMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates of Colorado PC Physical Medicine & Rehabilitation CurrentSince Aug 1, 1994 Accepting new patients

Locations

7208 S Tucson Way
Ste 260
Centennial, CO 80112
Phone (303) 792-3022

8515 Pearl St
Ste 201
Thornton, CO 80229
Phone (303) 286-2888

8515 Pearl St
Ste 350
Thornton, CO 80229
Phone (303) 287-7007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1063472785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 PEARL ST",
            "address_2": "SUITE 201",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294810",
            "telephone_number": "303-286-2888",
            "fax_number": "303-286-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 PEARL ST",
            "address_2": "SUITE 201",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294810",
            "telephone_number": "303-286-2888",
            "fax_number": "303-286-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "NICHOLAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "33792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90228359",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.